Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.90 / $89.90 / $255.71	Facility		$40.90	$89.90	$255.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.53 / $12.53	Professional		$10.47	$12.53	$12.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.09 / $70.70 / $165.12	Facility		$60.09	$70.70	$165.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $23.74 / $28.05	Professional		$14.61	$23.74	$28.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.33 / $152.01 / $160.22	Facility		$83.33	$152.01	$160.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $19.29 / $52.66	Professional		$18.96	$19.29	$52.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $64.92 / $129.97	Professional		$49.58	$64.92	$129.97
United Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $21.92 / $21.92	Professional		$9.44	$21.92	$21.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $29.69 / $37.79	Professional		$26.99	$29.69	$37.79